Management of Acute Dental Pain during Pregnancy - A knowledge assessment of Dentists at University Hospital

Aim: The purpose of the study was to explore the knowledge of the dentists regarding effective acute dental pain management among pregnant women. Methodology: Descriptive cross-sectional study design was conducted in the Operative Department, Dental Hospital at The University of Lahore. Sample size was 378 as in a Pakistani study. Non-probability convenient sampling technique was used to collect data. As descriptive statistics and data was analysed Results: Among 378 dentists, 122 (32.3%) had excellent knowledge and 143(37.8%) had good knowledge while 113 (29.9%) dentists had poor knowledge regarding management of acute dental pain during pregnancy Conclusion: Majority of the dentists reported good knowledge to deal pregnant patients with regards to procedure preferences. Keywords: Pregnant patients, Text books, Trimester, Dental pain management

Oral Health Related Quality of Life of Patients Suffering from Acute Dental Pain of Endodontic Origin

Millions of root canal treatment is being done every year to relieve the patient of endodontic pain, but a vast majority of them are not being assessed for oral health related quality of life (OHRQoL) after the procedure.The primary objective of this study is to assess Oral health related quality of life (OHRQoL) of patients suffering from acute dental pain of endodontic origin before and after the institution of root canal treatment. This cross sectional, questionnaire based study was conducted among 86 out patients reporting to the Department of Conservative Dentistry and Endodontics. The validity of the 5 point Likert scale questionnaire was confirmed using a content validity index by distributing the questionnaire amongst six experts. The questionnaire was tendered to patients before and 1 week after single visit root canal treatment. The questionnaire was categorised into 3 constructs representing sleep, physical, social and psychological dimension. Pre-treatment and post-treatment OHRQoL scores were analysed statistically using Wilcoxon rank test. There was a statistically significant median decrease in OHRQoL post-operative scores for all the three constructs. This study suggests that root canal treatment significantly improves OHRQoL of patients suffering from acute pain of endodontic origin.

Codeine for Acute Dental Pain and Acute Pain Related to Dental Procedures

Two overviews of systematic reviews, 4 systematic reviews, and 9 randomized controlled trials were identified comparing codeine or codeine combination drugs with placebo and/or other drugs in the management of acute dental pain. As compared to placebo, codeine was generally shown to offer a benefit to patients experiencing acute dental pain. When compared to other drugs and/or drug combinations — particularly those that were acetaminophen- or ibuprofen-based — codeine generally was not found to be as clinically effective for the management of acute dental pain, with the potential exception of tooth sensitivity following dental bleaching, where 1 study reported that acetaminophen plus codeine was statistically significantly superior to ibuprofen or placebo. Increased adverse events were observed with codeine-containing drugs as compared to other drugs and/or placebo. Studies included in this review demonstrated both strengths and limitations, some of which limit the extent to which the findings from these studies were relevant to this report and/or can be generalized.

Endodontic Management of Acute Dental Pain Among Pregnant Patients

OBJECTIVE: The purpose of this study is to reinforce the safety of non-surgical endodontic treatment in the management of acute dental pain of pulpal origin in pregnant patients in all trimesters. METHODOLOGY: The study was conducted amongst pregnant females with acute dental pain. Pain of endodontic origin in 273 pregnant patients was managed by performing non-surgical root canal treatment. Percentages were calculated as descriptive statistics to have a comparison of preferred treatment by dentists for acute pain management during pregnancy. One Way ANOVA was used to explore the difference between treatment selection plans. RESULTS: From the total sample of 273 participants, there was no significant difference found between the selection of endodontic treatment and Trimesters (F (2,270) = .79, p=.45) same results were obtained for the analgesics prescription during pregnancy and the trimesters during pregnancy (F (2,270) = 1.41, p=.24). On the other hand, the difference between the prescription of antibiotics during 1st, 2nd and 3rd trimesters was found which was statistically significant (F (2,270) = 12.38, p> .001). Endodontic treatment was completed on 251 (91.6%) pregnant patients to relieve the acute dental pain whereas only 22 (8.4%) patients did not undergo endodontic treatment in pregnancy. Among the cases who had endodontic treatment, 75.4% of cases were dealt with in the second trimester of pregnancy. The recommendation of antibiotics was less. In the entire data, antibiotic prescription was seen in the second trimester of pregnancy, whereas, overall, antibiotic prescription was at minimal level. Analgesic prescription was found to be (44.1%) in practice among pregnant participants during the treatment. CONCLUSION: Non-Surgical Endodontic Treatment is a safe and reliable treatment option for the management of restorable teeth with acute pain of pulpal origin in pregnant patients. Dentists should not be reluctant in prompt invasive dental management in these patients if indicated. KEYWORDS: pregnancy, pain, dental treatment, endodontic treatment HOW TO CITE: Khan SA, Hassan AU, Iqbal Z, Hassan M. Endodontic management of acute dental pain among pregnant patients. J Pak Dent Assoc 2021;30(1):7-11.

Commonly prescribed analgesics, post implant surgery - A retrospective study

Postoperative pain management comes with any treatment done in dentistry. Pain is considered as a complex experience that's invoked by an external stimulus. Safe and reliable methods of managing acute dental pain can be done with the administration analgesics. Common analgesics include Diclofenac sodium, Ketrolac, Tramadol, Paracetamol, etc. Dental implants are biologically and restoratively driven. A retrospective study was done in an institutional setting. The data for the study were retrieved from the college's patient record management software. All patients who underwent implant surgery at a given time frame of June 2019- March 2020 were taken into consideration. The patients PID, Name, Age, Gender and Analgesic prescribed were retrieved and tabulated. The data was then analysed using software (SPSS). Results: A total of 592 patients were involved in this study, 351 being male patients and 241 female patients. Majority of the patients who participated in this study were between 39.9 ± 12.58 years of age. The commonly prescribed analgesics included: Aceclofenac Paracetamol + Serratiopeptidase (93.2%), Acetaminophen +Hydrocodone (5.2%) and Piroxicam (20mg) (1.5%). Piroxicam was prescribed the least in the age group of 17-30 years. Conclusion: The most prescribed analgesic for patients who had undergone implant surgery was a combination of Aceclofenac, Paracetamol and Serratiopeptidase.